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| Author | : Brian Nolan |
| Publisher | : World Bank Publications |
| Total Pages | : 118 |
| Release | : 1995-01-01 |
| Genre | : Business & Economics |
| ISBN | : 9780821332405 |
Download Cost Recovery in Public Health Services in Sub-Saharan Africa Book in PDF, ePub and Kindle
This report describes and evaluates the ways in which user-fees are currently implemented to finance public health services in Sub- Saharan Africa. It presents the main issues that arise in assessing cost recovery through user fees and evaluates experiences to date. The authors highlight variety of practices encountered in different countries, the too common failure to structure charges so as to promote efficient use, and the lack of effective exemption structures for protecting the poor. The study thoroughly reviews standard cost recovery models and describes an initiative launched in Bamako, Mali, in 1987. Issues, experience, and conclusions are drawn from a sample of 38 countries.
| Author | : R. Paul Shaw |
| Publisher | : |
| Total Pages | : |
| Release | : 2012 |
| Genre | : |
| ISBN | : |
Download Cost Sharing Book in PDF, ePub and Kindle
In 1987, the World Bank recommended that the principle of cost recovery be incorporated into an agenda for financing publicly provided health services in developing countries. Concern remains widespread, however, that the introduction of user fees in government operated facilities or costly membership in insurance plans could deny the poorest people access to modern health services. The World Bank study better heath in Africa (1994) proposed several reforms for health care systems. These included increasing spending by governments on health care from $8 per capita to $13 per capita. This level is considered necessary to provide a cost-effective package of basic preventative and curative services, including safe drinking water and improved sanitation in low-income African countries. These countries represent 60 percent of the continent's population.
| Author | : R. Paul Shaw |
| Publisher | : Washington, D.C. : World Bank, c1995 (1996 printing) |
| Total Pages | : 268 |
| Release | : 1995 |
| Genre | : Business & Economics |
| ISBN | : |
Download Financing Health Services Through User Fees and Insurance Book in PDF, ePub and Kindle
World Bank Discussion Paper No. 294. Presents case studies that focus on user fees and self-financing health insurance as a means of contributing to efficiency, equity, and sustainable financing in the health sector. User fees are emphasized as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total expenditures in Africa. Evidence presented in this report suggests that self-financing insurance is more prevalent in many countries than had been previously thought.
| Author | : Ronald J. Vogel |
| Publisher | : |
| Total Pages | : 192 |
| Release | : 1988-01-01 |
| Genre | : Public health |
| ISBN | : 9780821310519 |
Download Cost Recovery in the Health Care Sector Book in PDF, ePub and Kindle
| Author | : Stefan Dercon |
| Publisher | : |
| Total Pages | : |
| Release | : 1998 |
| Genre | : |
| ISBN | : |
Download Cost Recovery in Health Care in Africa Book in PDF, ePub and Kindle
| Author | : Kurian, Oommen C. |
| Publisher | : Centre for Enquiry into Health and Allied Themes |
| Total Pages | : 14 |
| Release | : 2011-06-01 |
| Genre | : Medical |
| ISBN | : |
Download Punishing the Poor? A Look at Evidence and Action Regarding User Fees in Health Care Book in PDF, ePub and Kindle
“There’s now just overwhelming evidence that those user fees actually worsened health outcomes. There’s no question about it. So did the bank get it wrong before? Yeah. I think the bank was ideological” - Dr Jim Yong Kim, World Bank Head. (2014) User fees for health care were put forward as a way to recover costs and discourage the excessive use of health services and the over- consumption of care. This did not happen. Instead, user fees punished the poor. -Dr. Margaret Chan, Director-General, WHO. (2009) The history of user fees imposed on the poor is a history of the poor being excluded from basic services. – Jeffrey Sachs, Director, Earth Institute, End of Poverty (2005) Pricing helps reduce excessive or unwarranted demand for a service and brings supply capacity more in line with willingness and ability to pay. Put differently, when a service costs money, people will think twice about demanding it. - World Bank, Financing health care in sub-Saharan Africa through user fees and insurance. (1995)
| Author | : Annemarie Wouters |
| Publisher | : |
| Total Pages | : 58 |
| Release | : 1994 |
| Genre | : Medical care |
| ISBN | : |
Download Quality of Health Care and Cost Recovery in Africa Book in PDF, ePub and Kindle
| Author | : Randolph Quaye |
| Publisher | : University Press of America |
| Total Pages | : 83 |
| Release | : 2010 |
| Genre | : Business & Economics |
| ISBN | : 0761849300 |
Download Balancing Public and Private Health Care Systems Book in PDF, ePub and Kindle
Balancing Public and Private Health Care Systems appears at a timely moment, given widespread current discussion about equity in healthy care and the role of the state in healthcare planning. In response to the World Bank recommendation that the principle of cost recovery be included in healthcare financing strategies, African countries embraced the principle of public-private partnerships in healthcare. It was argued then, and still now, that a way out of their health conundrum is for governments to play a smaller role in healthcare. The present book explores the different financing arrangements in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare strategies in Africa, especially during a decade of market-oriented healthcare reform. Drawing upon current research and case studies, as well as recent work by the author himself on African healthcare systems, this book sets out to analyze the implications of the various strategies for the future of healthcare financing in Africa. Book jacket.
| Author | : Annemarie Wouters |
| Publisher | : |
| Total Pages | : 72 |
| Release | : 1994 |
| Genre | : |
| ISBN | : |
Download Quality of Health Care and Its Role in Cost Recovery in Africa Book in PDF, ePub and Kindle
| Author | : Germano M. Mwabu |
| Publisher | : |
| Total Pages | : 30 |
| Release | : 1990 |
| Genre | : Medical care |
| ISBN | : |
Download Financing Health Services in Africa Book in PDF, ePub and Kindle
African economies are performing poorly, and it is unlikely that governments will finance the health sector by raising additional tax revenues or by borrowing from international sources. What are the possibilities for user fees, community financing, and health insurance as alternatives? And should cost- recovery be an objective?
